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How Therapy Enhances Psychopharmacology

Frank Anderson On The Process That Gets A Client’s Body On Board

NP0038: Who’s Afraid of Couples Therapy?

Welcome to our “Who’s Afraid of Couples Therapy?” This exciting series, back by popular demand, is based on our November/December 2011 issue on this topic and will explore the challenges of couples work. What are the most effective strategies in working with couples? How can therapists structure therapy—particularly in the early sessions—so that couples leave with a sense of hope, rather than frustration? Can working with individuals who have serious issues in their relationships actually be detrimental to them? Find out the answers to these questions and much more. In this first session with expert couples therapists Ellyn Bader and Peter Pearson, the creators of the Developmental Model of Couples Therapy, you’ll find out why clinicians often avoid working with couples and how you can better prepare yourself for couples therapy work. How can therapists most effectively work with emotion in the consulting room—particularly when it comes to couples therapy? Learn with internationally known couples therapist Hedy Schleifer how to help create a nourishing connection between partners, define a role as therapist-as-guide, and much more. Schleifer, who’s pioneered the training of Imago Relationship therapists internationally, will go into how to use this theory in practice and how to best work with emotions. What happens when partners in couples therapy have two different agendas in mind? Hear from expert William Doherty on this little spoken about topic. Learn how Discernment Counseling, an approach that helps couples clarify their feelings about the next step in their relationship, can help both clients and therapists. Is it possible to rebuild trust and intimacy in a couple’s relationship after a partner has had an affair? How can therapists help? Hear from Esther Perel, author of the international bestseller Mating in Captivity: Unlocking Erotic Intelligence, on how to help couples after an infidelity and the role that cultural perspectives have in this emotional situation. Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon. Learn more about what’s behind the feelings of anger and the behavior of withdrawing, and how clinicians can more effectively work with shame and fear of disconnection. Hear an unconventional perspective on couples therapy from David Schnarch, who believes that the best way to help couples is to challenge partners to change their individual behaviors and attitudes. Schnarch’s direct, upfront approach to helping clients will illustrate a different viewpoint on effective couples therapy. Join Marty Klein, a marriage and family therapist and certified sex therapist, us for a candid discussion about the assumptions that both clients and therapists often share that can get in the way of improving couples’ sexual relationships. Discover with Kathryn Rheem how to respond effectively when clients express strong feelings in session. Based on Emotionally Focused Therapy, you’ll explore attunement and how to use your own emotions to help clients move beyond attachment injuries. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Whole Psychiatry: Alternatives to Conventional Psychopharmacology with Robert Hedaya

Meds: Myths and Realities: NP0035 – Session 4

Is psychopharmacology is a 'go-to' in your practice? Join Robert Hedaya as he discusses how to treat the bodily systems that underlay many mental health issues while avoiding medication. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Treating the Mixed-Agenda Couple

Bill Doherty On An Approach For Unaligned Relationships

Tough Customers: Is It Them or Us?

Tough CustomersBy Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!
From Intention to Action


From Intention to Action

Following through on a $50 impulse

By Jeffrey Kottler

I first went to Nepal seven years ago. After taking four planes, a bus, a truck, and an hour's walk, I found myself in a remote village in the Chitwan District, near the Indian border. I'd gone there to do research on maternal mortality with Kiran Regmi, then a Nepali doctoral student of mine, who worked as an obstetrician in rural districts near the Indian border. She's one of the few female physicians in her country, and one of the few doctors who practice outside of Kathmandu, Nepal's capital.

As part of our research, we were interviewing new mothers about their childbirth experiences, trying to figure out why women didn't seek medical service even when it was available (90 percent of the population has no access to professional healthcare), and why Nepal has one of the highest maternal mortality rates in the world. We soon learned that part of the reason was the frightening and humiliating experiences the lower-caste women we interviewed had endured at the medical facilities, which they'd often journeyed several days to reach. They told us that "snakes" had been put in their arms—intravenous tubes that were never explained—and the doctors, all men, shamed them by touching their private parts. They declared that they'd rather die than face such an ordeal again. They warned other women of the village never to go to those bad places, where they'd been treated like animals.

We learned that other women having difficult pregnancies who desperately wanted to seek medical care were often forbidden to do so. It took a bit of probing to find out what was going on: their mothers-in-law believed that difficult labor indicated that the pregnant women had done something to anger the gods, and it would be best if their daughters-in-law died so their sons could find stronger, less troublesome wives.

During these interviews, I learned something else that came as an even ruder shock to my Western sensitivities: I began to hear about girls who were disappearing from the villages, although nobody could tell me where they went or why they were gone. It took some digging before I learned that many families couldn't afford to feed and educate all their children (the average income in Nepal is $210 per year), so they'd sell their girls to "employers" who promised good jobs in India. I was never sure whether the parents realized that most of these girls, some as young as 9 years old, ended up in brothels in Mumbai. It seems that HIV-positive men believe that having sex with a virgin will cure them. After the girls were infected, they'd typically be sent back to their villages, where they'd spread the disease. It's estimated that this is the fate of more than 7,000 girls each year in Nepal.

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